Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wilkesboro Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with a history of coronary artery disease and diabetes was found with over-the-counter lubricating eye drops in her room, which she self-administered without having been assessed for her ability to do so. Staff and the DON confirmed that no evaluation or physician order had been completed, and the medication was not stored in a locked box as required.
A resident with moderate cognitive impairment was found to have an unsecured bottle of miconazole nitrate 2% powder at bedside without a physician order. The medication remained in the room over several days and was not stored in a locked compartment as required. Nursing staff and the DON confirmed that the medication should have been stored securely unless an order specified otherwise.
A resident receiving continuous oxygen therapy for chronic respiratory conditions was found with petroleum-based jelly in their room, which was used for lip dryness. The product remained accessible for several days despite staff awareness of the hazard, and was not removed during routine care or room rounds.
The facility failed to include estimated out-of-pocket costs on SNF ABN forms for four residents, despite informing them of the end of Medicare coverage. Staff interviews revealed a lack of awareness about the requirement to provide specific cost estimates, leading to this deficiency.
The facility failed to manage food storage and labeling, with expired and improperly labeled items found in the walk-in cooler and nourishment room freezer. A cracked eggshell with dirt was noted, and a scoop was improperly stored in a flour bin. The CDM acknowledged the issues, and the Administrator confirmed dietary staff's responsibility for discarding such items.
A privacy breach occurred when a medication cart laptop was left unattended with resident information visible. The incident involved a medication aide who thought she had minimized the screen. Staff interviews confirmed the expectation to lock screens to protect resident privacy.
A resident filed a grievance about missing personal items, including embroidered sheets and gowns, which was not resolved promptly by the LTC facility. Despite the facility's policy to resolve grievances within five days, the issue remained unresolved for over two months. The Social Worker and staff searched for the items but did not find them, and the resident was verbally informed that the search would continue. The facility eventually agreed to replace the items after the grievance was pending for an extended period.
A resident signed an arbitration agreement without proper understanding, as the facility failed to adequately explain it to her or her representative. The resident was confused and unable to recall the agreement, and her family member was not consulted. The admissions process involved auto-populating the resident's name on electronic forms, leading to a deficiency in ensuring informed consent.
A Medical Records Assistant failed to follow infection control protocols by entering a COVID-19 positive resident's room without PPE, despite clear signage and available supplies. The assistant was unaware of the resident's status and did not read the precautionary sign, leading to a breach in protocol.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
A deficiency occurred when a resident, admitted with diagnoses including coronary artery disease and diabetes and assessed as cognitively intact, was found to have a bottle of over-the-counter lubricating eye drops in her room for self-administration. The resident reported bringing the eye drops from home and using them as needed for dry eyes. Observations confirmed the eye drops were accessible to the resident on multiple occasions. Record review and staff interviews revealed that the resident had not been assessed for her ability to self-administer medication, as required by facility policy. Nursing staff and the DON confirmed that residents must be evaluated for safety before being permitted to self-administer medications, and that a physician order and secure storage are necessary. The lack of assessment and appropriate storage for the eye drops constituted the deficiency.
Unsecured Medication Found at Bedside Without Physician Order
Penalty
Summary
A deficiency occurred when a bottle of miconazole nitrate 2% powder, an anti-fungal medication, was found unsecured on top of a dresser beside the bed of a resident who was moderately cognitively impaired. The resident had no physician order for the medication to be kept at bedside, and the medication was observed in the same location during multiple visits over several days. The medication was not stored in a locked compartment as required by facility policy and professional standards. Interviews with nursing staff and the Director of Nursing confirmed that the anti-fungal powder should have been stored on the treatment cart unless there was a physician order to leave it in the resident's room. Staff members who cared for the resident stated they did not notice the medication in the room, but acknowledged that it should have been removed if seen. The Administrator also confirmed that the medication should not have been left in the resident's room without a physician order.
Petroleum-Based Jelly Present in Room of Resident on Oxygen Therapy
Penalty
Summary
A deficiency occurred when a resident with chronic obstructive pulmonary disease and chronic bronchitis, who was receiving continuous oxygen therapy via nasal cannula, was found to have a container of petroleum-based jelly on the overbed table in his room. Observations on two separate days confirmed the presence of the petroleum-based jelly while the resident was on oxygen at 4 liters per minute. The resident reported using the jelly on his lips for dryness and believed it was likely brought in by a family member. The care plan for the resident included monitoring for respiratory distress and administering medications as ordered, but did not address the presence of petroleum-based products in the room. Interviews with nursing staff and facility leadership revealed that both the DON and the Administrator were aware that petroleum-based products should not be present in the rooms of residents receiving oxygen therapy due to potential hazards. However, the petroleum-based jelly remained accessible to the resident for multiple days, and staff did not identify or remove it during their care activities. The deficiency was identified through observations, record review, and interviews with staff and the resident.
Failure to Provide Estimated Costs on SNF ABN Forms
Penalty
Summary
The facility failed to provide a complete Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) by omitting the estimated out-of-pocket cost for care for four residents. The medical records for these residents showed that while they were informed of the end of Medicare coverage for skilled services, the SNF ABN forms did not include the required estimated cost for continued care. This omission was consistent across all reviewed cases, affecting residents who remained in the facility after their Medicare coverage ended. Interviews with facility staff revealed that the Business Office Employee responsible for presenting the SNF ABN forms did not include specific cost estimates, instead writing 'private pay' in the cost section. The employee and the Administrator both confirmed that they were unaware of the requirement to provide a specific estimated cost on the SNF ABN forms. This lack of awareness and failure to document the estimated costs led to the deficiency identified in the survey.
Deficiencies in Food Storage and Labeling Practices
Penalty
Summary
The facility failed to properly manage food storage and labeling in their kitchen and nourishment areas, as observed during a survey. In the walk-in cooler, expired and potentially spoiled food items were found, including soy sauce, salsa, egg salad, and ricotta cheese, some of which had no use-by or best-before dates. Additionally, a cracked eggshell with black specks of dirt was noted and remained unaddressed upon a follow-up observation. The Certified Dietary Manager (CDM) acknowledged the oversight, stating that they rely on the manufacturer's expiration dates and conduct daily rounds to check and discard expired items. Further deficiencies were noted in the storage practices of dry ingredients and frozen food items. A plastic scoop was improperly stored inside a flour bin, risking cross-contamination. In the nourishment room freezer on Hall 100, two sausage breakfast sandwiches were found outside their original packaging, with ice crystals forming inside the plastic wrap and lacking proper labeling or use-by dates. The CDM explained that these items might belong to a resident or their family and mentioned having educated nursing staff on proper labeling practices. The Administrator confirmed that dietary staff were responsible for discarding improperly labeled or expired food items.
Privacy Breach of Resident Records
Penalty
Summary
The facility failed to maintain the privacy of a resident's medical records by leaving a medication cart laptop unattended with resident information exposed. This incident occurred with medication cart #3, one of six medication carts in the facility. During an observation on the 200 hall, the laptop screen on the unattended medication cart was open and displayed sensitive information, including resident names, medications, and diagnoses. Staff members were present in the area, and a treatment nurse passed by while the information remained visible on the screen. A resident also passed by the open laptop screen, further exposing the information. Medication Aide (MA) #2, who was responsible for both medication carts #2 and #3, returned to the area shortly after. During an interview, MA #2 stated that she usually clicked the walkaway tab to minimize the screen when leaving the cart unattended but thought she had done so before leaving the hall. Interviews with the Assistant Director of Nursing and the Director of Nursing confirmed that staff were expected to minimize the laptop screens to protect resident privacy when not attending the carts. The Director of Nursing emphasized that MA #2 should have ensured the screen was locked before leaving the cart unattended.
Delayed Resolution of Resident Grievance Regarding Missing Items
Penalty
Summary
The facility failed to ensure a prompt resolution to a grievance filed by a resident, identified as Resident #43, regarding missing personal items. The resident, who was cognitively intact, reported missing embroidered sheets, gowns, a tote bag, and a Yeti cup to the facility's Social Worker on July 3, 2024. The grievance policy of the facility required that grievances be resolved within five working days, but the resolution for this grievance was delayed for over two months. The Social Worker documented the initial investigation and left a message for the resident's family member to inquire about the items but did not provide a written summary of the investigation to the resident. Interviews with the resident and staff revealed that the facility's staff, including housekeeping and laundry, searched for the missing items but were unable to locate them. The resident expressed frustration over the unresolved grievance and stated that she was verbally informed that the facility would continue to search for the items. The Social Worker admitted that the grievance had been pending for a long time and that it was not unusual for the facility to take this long to resolve grievances related to lost items, as they often reappeared weeks later. The Director of Nursing and the Administrator were also interviewed, and both acknowledged the facility's policy to resolve grievances within five days. However, the Director of Nursing mentioned that the resolution time varied depending on the item, and it could take up to a month or more for long-term residents. The Administrator stated that the facility typically resolved grievances promptly by replacing or reimbursing the resident for lost items. Despite these statements, the grievance remained unresolved until September 9, 2024, when the facility agreed to replace the resident's lost items.
Failure to Properly Inform Resident About Arbitration Agreement
Penalty
Summary
The facility failed to properly inform a resident or their representative about the arbitration agreement before obtaining a signature. This deficiency was identified during a review of the facility's Agreement for Arbitration, which was not dated. The agreement indicated that by signing, the resident or their representative acknowledged understanding the terms. However, Resident #296, who was admitted to the facility, signed the agreement along with other admission paperwork without a clear understanding. An interview with the resident revealed that she was only oriented to person and could not recall being informed about the arbitration agreement. Her family member also expressed doubt about her ability to comprehend the agreement due to her confusion. The admission coordinator stated that she explained the arbitration agreement to residents or their representatives and offered a paper titled 'Understanding the Arbitration Agreement.' However, she acknowledged that Resident #296's name was listed as the signer, and the resident seemed fine during the admission process. The administrator explained that the resident's name was auto-populated into the electronic form, and the admissions coordinator was responsible for ensuring understanding. Despite this, the resident's representative was not consulted, and the resident's name remained on the agreement, indicating a lack of proper communication and verification of understanding.
Infection Control Breach by Medical Records Assistant
Penalty
Summary
The facility failed to adhere to its infection control policy when a Medical Records Assistant delivered a lunch tray to a resident on Enhanced Droplet Precautions without wearing the required personal protective equipment (PPE), including a mask, gloves, gown, and eye protection. The resident had been diagnosed with COVID-19 and was under Enhanced Droplet Precautions, as indicated by signage on the resident's door. Despite the presence of PPE supplies and clear signage, the Medical Records Assistant entered the room without the necessary protective gear, citing a lack of awareness of the resident's COVID-19 status and the precautionary requirements. Interviews with facility staff, including the Infection Prevention Nurse and the Director of Nursing, revealed that the Medical Records Assistant had received infection control training earlier in the year and should have been aware of the need to wear PPE. The Director of Nursing confirmed that an educational message regarding the use of PPE was sent to all employees when the resident tested positive for COVID-19. However, the Medical Records Assistant did not read the signage on the resident's door, which led to the breach in infection control protocol.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near North Wilkesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wilkes Regional Medical Ctr Sn | 0.9 mi | ★★★★★ | 0 | 0 |
| Ridge Valley Center For Nursing And Rehabilitation | 1.1 mi | ★★★★★ | 1 | 0 |
| Westwood Hills Nursing And Rehabilitation Center | 1.5 mi | ★★★★★ | 3 | 0 |
| Valley Nursing And Rehabilitation Center | 19.7 mi | ★★★★★ | 6 | 0 |
| Pruitthealth-elkin | 20.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.